MS. JENIENNE ELIZABETH GOODEN
NPI 1205578598
Custodial Care Facility - Adult Care Home in Port St. Lucie, FL

Active since April 08, 2022
1674 SOUTH EAST FALLON DRIVE, PORT ST. LUCIE, FL 34983(772) 834-5733 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Jenienne Elizabeth Gooden NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JENIENNE ELIZABETH GOODEN (NPI 1205578598) is an individual adult care home provider in Port St. Lucie, Florida and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1205578598
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameMS. JENIENNE ELIZABETH GOODEN
Location Address1674 SOUTH EAST FALLON DRIVEPort St. Lucie, FL 34983
Mailing Address1674 Southeast Fallon DrivePort St. Lucie, FL 34983 · (772) 834-5733
Sole ProprietorYes
Enumeration DateApril 8, 2022
NPPES CertifiedApril 8, 2022
NPI 1205578598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
1674 SOUTH EAST FALLON DRIVE, Port St. Lucie, FL 34983

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenienne Gooden's NPI number?

The NPI number for Jenienne Gooden is 1205578598. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Where is Jenienne Gooden located?

Jenienne Gooden practices at 1674 South East Fallon Drive, Port St. Lucie, FL 34983. The listed phone number is (772) 834-5733.

What is Jenienne Gooden's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Jenienne Gooden was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.